The relationship between drug therapy adherence and the results of blood pressure targets achievement in hypertensive patients with dyslipidemia complications at Government Hospital in Yogyakarta

Authors

  • Andriana Sari Ahmad Dahlan University
  • Faridah Baroroh Farmasi, Universitas Ahmad Dahlan
  • Fitriani Puji Astuti Farmasi, Universitas Ahmad Dahlan

DOI:

https://doi.org/10.12928/pharmaciana.v10i3.16553

Keywords:

hypertensive, dyslipidemia, adherence, blood pressure target achievement, MARS

Abstract

Hypertension is a chronic disease that affects most people. Almost every people have certain specific factors that can cause this disease to increase. One of which is inadequate physical activity so that cholesterol levels remain and tend to get higher, which is a risk factor for heart and blood vessel disorders. Patients with this disease and having dyslipidemia complications must treat with appropriate therapy until reaching success. The patient's adherence determines the success of the treatment. Therefore the purpose of this research is to assess the relationship. Its objects were hypertensive patients at the Government Hospital in Yogyakarta. The specialty of the hypertensive patient is having dyslipidemia complications. The study uses non-experimental with a cross-sectional study. The sample was selected based on the purposive sampling technique in December 2018-February 2019. The measurement of therapy adherence used MARS questionnaire and the achievement of therapy targets through secondary data on patient blood pressure. Chi-square test was chosen to determine the relationship between 2 variables, which are therapy adherence and achieving blood pressure targets. The sample in this study were 47 respondents, of which 53.2% of the patients were <60 years old, in which 51.1% of them were female. The results showed that patients who were adherent to therapy were 25.5%, and those who were not were 74.5%. The results of achieving the blood pressure target are known to be 68.1%. The data analysis results showed that the one-way hypothesis in Fisher's test obtaining p-value = 0.171 (p> 0.05) was no relationship between adherence and target achievement. Therefore the results of this study concluded that there is no relationship between drug therapy adherence and blood pressure targets achievement.


Author Biography

Andriana Sari, Ahmad Dahlan University

clinical pharmacy

References

Bakris, G., Cushman, W. C., Green, L. A., & Izzo, J. L. (2003). The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: The JNC 7 Report, 289(May 21), 2560–2572. https://doi.org/10.1001/jama.289.19.2560

Bistara, D. ., & Kartini, Y. (2018). Hubungan Kebiasaan Mengkonsumsi Kopi dengan Tekanan Darah pada Dewasa Muda. Jurnal Kesehatan Vokasional, 3(1), 24–27.

Bosu, W. K. (2017). systematic review, 9716(August). https://doi.org/10.3402/gha.v8.26227

Cahyani, F. M. (2018). Hubungan Kepatuhan Minum Obat Antihipertensi Terhadap Tercapainya Target Terapi Pasien Hipertensi di Puskesmas Wirobrajan Yogyakarta Melengkapi data primer yang diperoleh dari wawancara langsung dengan data pada rekam medik pasien hipertensi yang menjalani pengobatan rawat jalan di Puskesmas Wirobrajan Yogyakarta ., 1(2), 10–16.

Dahlan, M. . (2014). Statistik untuk Kedokteran dan Kesehatan Edisi 6.

Day, W. H. (2013). A global brief on Hyper ­ tension World Health Day 2013.

Dinkes. (2014). District Health Account.

Hardati, A. T., & Ahmad, R. A. (2013). Aktivitas fisik dan kejadian hipertensi pada pekerja : analisis data Riskesdas 2013.

Hazwan, A., & Pinatih, G. N. . (2017). Gambaran karakteristik penderita hipertensi dan tingkat kepatuhan minum obat di wilayah kerja puskesmas Kintamani I, 8(2), 130–134. https://doi.org/10.1556/ism.v8i2.127

Indonesian Ministry of Health. (2015). Indonesian Health Statistics 2014. Kementerian Kesehatan Republik Indonesia (Vol. 51). https://doi.org/10.1037/0022-3514.51.6.1173

Kishore, J., Gupta, N., Kohli, C., & Kumar, N. (2016). Prevalence of Hypertension and Determination of Its Risk Factors in Rural Delhi, 2016.

Krousel-Wood, M., Islam, T., Webber, L. S., Re, R. N., Morisky, D. E., & Muntner, P. (2009). New medication adherence scale versus pharmacy fill rates in seniors with hypertension. American Journal of Managed Care, 15(1), 59–66. https://doi.org/11024 [pii]

Last, A. R., College, M., Valley, F., Medicine, F., Program, R., Ference, W. J. D., … Program, R. (2017). Risk Reduction in Adults.

Nikolov, P., Nikolova, J., Orbecova, M., Deneva T., Vladimirova, L., A. (2015). Flow Mediated Vasodilation and Some Biomarkers of Endotelial Activation in Pre-Hypertensive Object. The West Indian Medical Journal, 1–12.

Ozemek, C., Laddu, D. R., Arena, R., & Lavie, C. J. (2018). The role of diet for prevention and management of hypertension, 1–6. https://doi.org/10.1097/HCO.0000000000000532

Penelitian, B., & Pengembangan, D. A. N. (2013). Riset kesehatan Dasar.

Ramirez, S. S. De, Enquobahrie, D. A., Nyadzi, G., Mjungu, D., & Magombo, F. (2010). Prevalence and correlates of hypertension : a cross-sectional study among rural populations in sub-Saharan Africa, 786–795. https://doi.org/10.1038/jhh.2010.14

Strategis, R., & Kesehatan, K. (2015). Kementerian kesehatan republik indonesia.

Weber, M. A., Schiffrin, E. L., White, W. B., Mann, S., Lindholm, L. H., Kenerson, J. G., … Ram, C. V. S. (2014). Clinical Practice Guidelines for the Management of Hypertension in the Community A Statement by the American Society of Hypertension and the International Society of Hypertension, 16(1). https://doi.org/10.1111/jch.12237

WHO. (2015). Q & As on hypertension, (September).

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Published

2020-10-28

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Section

Clinical and Community Pharmacy